Active NPI
Mark Lee Robinson, D. MIN.
- Pastoral Counselor
- Saint Louis, MO
National Provider Identifier
1780892489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- Practice address
- 6454 Alamo Ave
Suite 2E
Saint Louis, MO 63105-3155 - Phone
- (314) 863-2363
- Fax
- (314) 727-4068
- NPI assigned
- May 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | Primary |
Addresses
Primary practice location
6454 Alamo Ave
Suite 2E
Saint Louis, MO 63105-3155
Mailing address
6454 Alamo Ave
Suite 2E
Saint Louis, MO 63105-3155
Phone (314) 863-2363
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3889 | Other | AAPC # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780892489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6454 ALAMO AVE",
"address_2": "SUITE 2E",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631053155",
"telephone_number": "314-863-2363",
"fax_number": "314-727-4068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6454 ALAMO AVE",
"address_2": "SUITE 2E",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631053155",
"telephone_number": "314-863-2363",
"fax_number": "314-727-4068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "MARK",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D. MIN.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AAPC #",
"identifier": "3889",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.